Effectiveness of Endoscopic Ultra Sonography in Evaluation of Dilated CommonBileDuct ofUndeterminedEtiology | ||||
| Minia Journal of Medical Research | ||||
| Article 31, Volume 30, Issue 4, October 2019, Page 186-192 PDF (664.21 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.221711 | ||||
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| Authors | ||||
| Hosam Bayoumi1; Hala Elfeky1; Amr Abou El-magd2; Moataz Abd Elgayed3 | ||||
| 1Department of Hepatology, Gastroenterology and Infectious Diseases, banha Faculty of Medicine | ||||
| 2Department of Internal medicine, Armed Forces – college of Medicine. | ||||
| 3Department of Gastroenterology and Hepatology, Kobry el kobba Military Hospital. | ||||
| Abstract | ||||
| The aim of the present study was to assess the value of EUS in identifying the cause of CBD diltation which its nature could not be diagnosed by transabdominal ultrasonography and other modalities as computed tomography (CT). This prospective longitudinal study was conducted on 50 adult patients between March 2018 and March 2019 because of dilated CBD of undetrmined etiology on TUS and CT. Thirty-eight patients (76%) were males and twelve patients (24%) were females. Patients were selected according to the following criteria: Patient with dilated CBD > 7 mm, with no definite cause of biliary obstruction on abdominal sonography and CT and patients with dilated biliary system and suspected periampullary lesions or enlarged pancreatic head with no definite focal masses which sent for more clarification by EUS. The diagnostic performance of: US, CT, and EUS in prediction of malignancy showed that abdominal US had sensitivity of (57.1%) and specificity (100%) while, CT had sensitivity of (68.6%) and specificity of (100%) while EUS had sensitivity of (85.7%) and specificity of (100%). | ||||
| Keywords | ||||
| Diagnosis; Endosonography; common bile duct | ||||
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